Ann-Maree Tedaldi, DPT, PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1158813 Issued in TX

Practice address

3001 S Jackson St
San Angelo, TX 76904-5129

Phone

(325) 223-6304

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mizener & Associates Physical Therapy

  • Physical Therapist
  • Manassas, VA
  • NPI 1912921545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1871678227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S JACKSON ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045129",
            "telephone_number": "210-482-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S JACKSON ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045129",
            "telephone_number": "325-223-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDALDI",
        "first_name": "ANN-MAREE",
        "name_prefix": "Miss",
        "credential": "DPT, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1158813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Anderson Taylor, M.D.
• Margaret Kathryn Taylor, M.ED, BCBA
• Owen Taylor
• Rebecca C Taylor, CNS
• Shook-Ming Taylor, D.O.
• April Rene Tedford, REGISTERED NURSE
• Meghan Ashley Teel
• Mehboob Teja, DDS
• Christina Ann Templin, PHARMD., RPH
• Samantha Ten Brink

• Physical Therapist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.